WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Nighat Saleh, Rahman Gul*, Safia Mengal, Kashmala Khan, Falsafa Jamal, Mir Abdul Qadir, Abdul Ghani Sasoli, Muhammad Zaman Khethran and Aida durrani

ABSTRACT

Almost 6-10% of pregnancies develop complications if mother become hypertensive during pregnancy, this is known as Pregnancy induced hypertension (PIH) in which blood pressure becomes higher than normal i.e., >140/90 mmHg. PIH classified in Mild, Moderate and Sever hypertension according to the blood pressure levels Mild BP 140–149/90–99 mmHg, Moderate BP 150–159/100–109 mmHg, and Severe BP> 160/110 mmHg are the three categories. some conditions related to pregnancy induced hypertension like chronic hypertension, pregnancy induced hypertension and pre-eclampsia, chronic hypertension with superimposed pregnancy induced hypertension plus proteinuria and unclassified hypertension. Pregnancy induced hypertension play a big role in hazards for mother, fetus and newborn morbidity and mortality. PIH have lethal effects on both the mother who have a greater risk of suffering from abruptio placentae, cerebrovascular disturbances e.g. (cerebral oedema, hyper perfusions), organ failure and disseminated intravascular coagulation And on Fetus as growth retardation (IUGR), premature and still births. after 24 h monitoring of ambulatory BP it appears as having a part in the decline from pregnancy induced hypertension to Preeclampsia. antithrombin medicines show good preventive effects in Pre-eclampsia. different Therapy is based on blood pressure readings, gestational age, symptoms, and risk factors. Consider non-drug management when blood pressure is between 140 and 149/90 and 99 mmHg. health organizations recommended different treatment line in pregnancy according to the blood pressure levels Antihypertensive therapy is recommended in accordance with the 2013 ESH/ESC guidelines. when a woman is pregnant and her blood pressure is 150/95 mmHg. treatment should start to female 140/90 mmHg BP plus pregnancy induced hypertension+/- proteinuria, persistent high blood pressure with superimposition of PIH or high bp with organ damage or impairment without symptoms in any trimester. The medication of choice during pregnancy is methyldopa. While labetalol has an efficacy similar to methyldopa In late pregnancy, metoprolol and atenolol seem to be both safe and helpful medications. Due to their harmful effects on the fetus, ACE inhibitors and angiotensin II antagonists are not allowed to be taken during pregnancy.

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